대한흉부영상의학회 Korean Society of Thoracic Radiology

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Weekly Chest CasesArchive of Old Cases

Case No : 332 Date 2004-03-06

  • Courtesy of Yeon Joo Jeong, M.D., Kyung Soo Lee, M.D. / Samsung Medical Center, Sungkyunkwan University, Seoul, Korea]
  • Age/Sex 34 / M
  • Chief ComplaintHemoptysis
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Rasmussen aneurysm
Radiologic Findings
Contrast-enhanced CT scan shows a round, enhancing, 1.2 x 1.1-cm lesion within the consolidated left upper lobe.
Brief Review
Left intercostals arteriogram shows contrast material filling the aneurysm (arrow). Left bronchial and intercostal artery embolization and antituberculous medication was given. The consolidation and the aneurysm resolved.

Rasmussen aneurysm is a rare phenomenon caused by weakening of the pulmonary artery wall from adjacent cavitary tuberculosis. .A review of autopsy findings in patients with a history of chronic cavitary tuberculosis showed a 5% prevalence of Rasmussen aneurysm. Hemoptysis is the usual presenting symptom and may be life-threatening when it is massive. Progressive weakening of the arterial wall occurs as granulation tissue replaces both the adventitia and the media. The granulation tissue in the vessel wall is then gradually replaced by fibrin, resulting in thinning of the arterial wall, pseudoaneurysm formation, and subsequent rupture.
References
1. Kim HY, Song KS, Goo JM, Lee JS, Lee KS, Lim TH. Thoracic sequelae and complications of tuberculosis. Radiographics 2001;21(4):839-58
Keywords
Vascular, Vascular,

No. of Applicants : 36

▶ Correct Answer : 26/36,  72.2%
  • - Air force education & training command Hospital, Korea Hyukwon Chang
  • - Annecy Hospital, France Gilles Genin
  • - Apollo Hospital, Colombo, Sri Lanka sanjeet oram
  • - Apollo Hospital, Colombo, Sri Lanka Xavier Rajesh
  • - CH Lyon sud, France Xavier Riviere
  • - Chin-Hae Jeil Hospital, Korea Jeong-ah Chang
  • - Chonnam national University Hospital, Korea Nam Yeol Yim
  • - CHU Nancy-Brabois, France Denis Regent
  • - CIM Saint Dizier, France JC Leclerc
  • - Dong-A University Hospital, Korea Ki-Nam Lee
  • - Dr. Jankharia's Imaging Centre, Mumbai, India Bhavin Jankharia
  • - Escola Paulista de Medicina, Brasil Jose Luiz M de Almeida Prado
  • - Ev. Krkhs. Hubertus, Berlin, Germany Michael Weber
  • - Geneva University Hospital, Switzerland Philippe Dumont
  • - Gwangmyoung Sung-Ae Hospital, Korea Jiyong Rhee
  • - Hangang SacredHeart Hospital, Korea Eil Seong Lee
  • - Homs National Hospital, Homs, Syria Rami Abou Zalaf
  • - Incheon Sarang Hospital, Korea Jung Hee Kim
  • - Mallinckrodt Institute of Radiology, USA Jin Mo Goo
  • - Namwon Medical Center, Korea In Hwan Kim
  • - National Taiwan University Hospital, Taiwan Tan Che Kim
  • - Nowon Eulji hospital, Korea Jeong Joo Woo
  • - Samsung Medical Center, Korea Sung Shine Shim
  • - Sharma Clinic, Jaipur, India Dinesh Sharma
  • - Social Security Hospital, Ankara, Turkey Meric Tuzun
  • - University Hospital Parma, Italy Maurizio Zompatori
▶ Semi-Correct Answer : 7/36,  19.4%
  • - Chungju Hospital, Konkuk University, Korea Chang Hee Lee
  • - Clinic 1, Moscow, Russia Lepikhina Dasha
  • - Escola Paulista de Medicina, Fleury, Sao Paulo, Brazil Gustavo Meirelles
  • - Hospital Donostia, Spain Aitor Tilla
  • - Kocaeli University Medical School, Turkey Salih Topcu
  • - Ondokuz Mayis University, Samsun, Turkey Cetin Celenk
  • - Shin Kong Memorial Hsopital, Taiwan Diana Yeh
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Current Editor : Sang Young Oh, M.D., Ph.D Email : sangyoung.oh@gmail.com

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